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目的调查分析张掖地区羊水过少对母婴结局的影响。方法选取2014年6月-2016年6月在该院分娩的168例孕妇为研究对象,其中孕晚期羊水过少58例(观察组),羊水正常110例(对照组),对两组孕妇的临床资料及母婴结局进行回顾性分析。结果观察组的延期妊娠率、剖宫产率、产后出血率及产后感染率分别为24.14%、82.76%、6.90%和8.62%,均显著高于对照组的10.00%、68.18%、0.91%和0.91%,差异均有统计学意义(P<0.05);观察组的新生儿窒息率、胎儿窘迫发生率、Ⅱ~Ⅲ度羊水粪染发生率、围产儿死亡率分别为24.14%、25.86%、13.79%、5.17%,均显著高于对照组(4.55%、7.27%、4.55%、0),差异均有统计学意义(P<0.05)。观察组的平均产后出血量(320.4±61.5)ml显著高于对照组(202.1±50.4)ml,差异有统计学意义(P<0.05)。结论妊娠晚期羊水过少会增加剖宫产率及羊水粪染、胎儿窘迫、新生儿窒息发生风险,对母婴结局造成不利影响,临床应对孕妇加强围生期监测与保健,积极处理羊水过少,以改善母婴结局。
Objective To investigate the effect of oligohydramnios on the outcome of maternal and infant in Zhangye Prefecture. Methods A total of 168 pregnant women who gave birth in this hospital from June 2014 to June 2016 were selected, including 58 cases of oligohydramnios in the third trimester of pregnancy (observation group) and 110 cases of normal amniotic fluid (control group) Clinical data and maternal and infant outcomes were retrospectively analyzed. Results The delayed pregnancy rate, cesarean section rate, postpartum hemorrhage rate and postpartum infection rate were 24.14%, 82.76%, 6.90% and 8.62% in the observation group, which were significantly higher than those in the control group (10.00%, 68.18%, 0.91% 0.91% .The difference was statistically significant (P <0.05). The incidence of neonatal asphyxia, fetal distress, degree of Ⅱ ~ Ⅲ amniotic meconium staining and perinatal mortality in the observation group were 24.14% and 25.86% 13.79% and 5.17%, respectively, which were significantly higher than that of the control group (4.55%, 7.27%, 4.55%, 0). The differences were statistically significant (P <0.05). The average amount of postpartum hemorrhage (320.4 ± 61.5) ml in the observation group was significantly higher than that in the control group (202.1 ± 50.4) ml, the difference was statistically significant (P <0.05). Conclusions In the third trimester of pregnancy, oligohydramnios will increase the risk of cesarean section and meconium-stained amniotic fluid, fetal distress and neonatal asphyxia, which will adversely affect the outcome of both mother and baby. Pregnant women should strengthen perinatal monitoring and care, and actively manage oligohydramnios , To improve the outcome of maternal and child.